A nurse is caring for a client admitted with a perforated peptic ulcer. Which of the following findings should the nurse anticipate in the client's physical assessment?

Hypoactive bowel sounds

Reduced abdominal tenderness

Elevated blood pressure

Increased abdominal rigidity

Answer and Explanation

The Correct Answer is D

Choice A reason:

A perforated peptic ulcer can lead to localized peritonitis, which may cause abdominal rigidity and guarding, rather than hypoactive bowel sounds.

Choice B reason:

Reduced abdominal tenderness is not expected in a client with a perforated peptic ulcer. Abdominal tenderness is likely to be present due to inflammation and irritation of the peritoneal lining.

Choice C reason:

Elevated blood pressure is not a typical finding in a client with a perforated peptic ulcer. The client may experience hypotension due to fluid loss and hemorrhage.

Choice D reason:

This statement is correct. A perforated peptic ulcer can cause increased abdominal rigidity due to the inflammation and irritation of the peritoneal lining. The abdomen may feel tense and rigid upon palpation.

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Correct Answer is B

Explanation

Choice A reason:

Administering antacids one hour before meals would be less effective in providing pain relief during mealtime when stomach acid production is increased.

Choice B reason:

This statement is correct. Administering antacids with meals helps neutralize stomach acid during the digestion process and provides pain relief for clients with peptic ulcer disease.

Choice C reason:

Administering antacids two hours after meals may not effectively reduce pain during the mealtime when stomach acid production is at its peak.

Choice D reason:

Administering antacids at bedtime may help with overnight acid reduction, but it may not adequately address pain during meals when acid production is higher.

A. "Limit your intake of fiber-rich foods to avoid gastrointestinal irritation." B. "Avoid spicy and acidic foods that can increase stomach acid production." C. "Increase your consumption of carbonated beverages to promote digestion." D. "Include caffeine-containing beverages in your diet to stimulate gastric motility."

Correct Answer is B

Explanation

Choice A reason:

Limiting fiber-rich foods is not a recommended preventive strategy for peptic ulcer disease. In fact, fiber can aid digestion and promote bowel regularity, which may be beneficial for some clients with peptic ulcers.

Choice B reason:

This statement is correct. Spicy and acidic foods can irritate the stomach lining and increase stomach acid production, potentially worsening symptoms for clients with peptic ulcers.

Choice C reason:

Increasing consumption of carbonated beverages is not advised, as they can cause bloating and increased gas production, which may exacerbate symptoms for clients with peptic ulcers.

Choice D reason:

Caffeine-containing beverages should be limited or avoided, as caffeine can stimulate gastric acid secretion and may worsen symptoms for clients with peptic ulcers.

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A nurse is caring for a client admitted with a perforated peptic ulcer. Which of the following findings should the nurse anticipate in the client's physical assessment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with peptic ulcer disease who is experiencing severe abdominal pain. The healthcare provider orders antacids for pain relief. The nurse should administer the antacids at which of the following times?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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